Marchal, Matthew Walter

Marchal, Matthew Walter is an individual health care provider with primary practice located at 200 E Ponce De Leon Ave Suite 110, Decatur GA 30030-3466. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Marchal, Matthew Walter can be contacted via phone (404) 501-6363.

Contact Information

Primary practice address
200 E Ponce De Leon Ave Suite 110 Decatur GA 30030-3466
Phone: (404) 501-6363
Fax: (404) 371-0019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101058012 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 070678 Georgia

Profile Details

NPI number 1457318503
LBN Legal business name Marchal, Matthew Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Nov 13th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457318503 NPPES
Georgia MEDICAID 003139521A

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